For use of this form, soo, A* 380-5; the propanont a ------- TO: NSA 'EATi ECFIVED r~~FFICEAS! is the Office, Assistant Chief of Staff for ___jECTION A - GENERAL ROM: SUSPENSE DATE(S) REGISTER OR CONTROL NO. CONI ROL. LOG CLASSIFF NUMBER OF DESCRIPTION (Type. File Rrf. Unclossified Subject DATE OF OR FILE NO. CATION COPIES or Short Tille and Numbfv of bidoisements1lijels) DOCUMENT ORIGINATOR CL-039-83 ',/NOFORN .1. Cyl of I cy, Report CL-1011/8304/01 ... ................... ................... I....... .......... NOTHING FOLLOWS ............. ................... TO SECIION 8 - ROUTING Coll NO. DAT E PFfl7TFD NA~AE SECTION C DESTRUCTION CERTIFICATE (Chech appropriate Nock) ~AAT~Ri~[- DESCRIBED HEREON HAS BEE IA DESTROYED FA TORN IN HALF AND PLACED IN A CLASSIFIED WASTF CONTAINER (AR - - ----- -- - 6-F F Z ~ -S -1, 4 BE, DATE PRINTED NAME OF CUSTODIAN OR REP SIGNATURE -~iiINTC 0-14-R -EC6i~-U Wd- '6iff I-YING/DESTR. OF SIGNATURE 6 I;AME OF I:-ER`TI Ti INTEL) NAME OF WITNESSING OFFICIAL SIGNATURE SIGNATURE PACE OR COPY N SECTION 0 - REPRODUCTION AUTHORITY I z TE --TJT4O I) BY SECTION E - RECeIPT/TNACFA ACTION (('heck appopjjat,~ 1)1(,,b; - - -- -- ------- EJRE.(,-,F-IP'f OF DOCUMENT~Sl ACKNOWLEDGED C] DMUMFNTtS~ HAVE NOT BEEN RECEIVED C,ITRACF.R ACTION. SIGNED RECEIPV FOR MATERIAL DESCRIBED ABOVE HAS NOL T BEEN RECEIVED. DATE FN~ii F)WIk~E~ G RAD E 0 R T IT LE D A FORM 3964, 1 Jul 79 EDITION OF 1 NOV 72 IS OBSOLETE. U.S.GPO:1980-0-319-050 -,.approved For Release 2000108108: CIA-RDP96-0078BROO1900050003-5 -,7 JUVVIO[WAI'll once 18